Start active, stay active: care planning in CHD

Bell, Alison; Cox, Carol; Hill, Marie

doi:10.12968/pnur.2013.24.12.586

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…These guidelines also recommend minimising sedentary behaviour. Despite this guidance, one third of adults in the UK regularly fail to meet the Chief Medical Officers’ PA guidelines [ 3 ], having huge implications on an already stretched health service. For example, according to the Department of Health and Social Care, physical inactivity is associated with 1 in 6 deaths in the UK and costs the NHS £0.9 billion annually (and £7.2 billion to the UK economy) [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

A movement for movement: an exploratory study of primary healthcare professionals’ perspectives on implementing the Royal College of General Practitioners’ active practice charter initiative

Leese,

Mann,

Al-Zubaidi

et al. 2024

BMC Prim. Care

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Background Regular physical activity (PA) results in extensive physical, psychological, and social benefits. Despite primary care being a key point of influence for PA behaviours in the UK, research indicates poor application of PA interventions in this context. To address this, the Royal College of General Practitioners’ (RCGP) developed and implemented the Active Practice Charter (APC). The aim of the study was to evaluate the perceived impact and acceptability of the APC initiative from the perspective of primary healthcare professionals (PHPs). Methods An online exploratory cross-sectional survey was designed to assess the perceived impact, experiences, and challenges of the APC initiative, from the perspective of PHPs. The survey was distributed by the RCGP via email to 184 registered APC practices across the UK. Results Responses were reviewed from staff (n = 33) from 21 APC practices. Initiatives used by APC practices included: educational programmes, partnerships with PA providers, referral systems, and infrastructure investment. Perceived benefits included: increased awareness about PA, staff cohesion, and improved well-being. However, staff felt the APC had limited effect due to implementation barriers, including: a lack of engagement, time, resources, and funding. Conclusion This is the first evaluation of any nationwide UK-based initiative engaging GP practices in promoting PA. Acknowledging the limitations in response rate, although support exists for the RCGP APC, the evaluation highlights challenges to its implementation. Nonetheless, the wide reach of the RCGP, combined with the cited staff and patient benefits, demonstrates the significant potential of the APC initiative. Given the need to address physical inactivity nationally, further development the APC offers a possible solution, with further research required to overcome the challenges to implementation.

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Section: Introductionmentioning

confidence: 99%

A movement for movement: an exploratory study of primary healthcare professionals’ perspectives on implementing the Royal College of General Practitioners’ active practice charter initiative

Leese,

Mann,

Al-Zubaidi

et al. 2024

BMC Prim. Care

View full text Add to dashboard Cite

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“…In the United Kingdom, one third of adults fail to meet the Chief Medical Officers’ physical activity guidelines, 21 resulting in huge detrimental implications on an already stretched health service. For example, according to the Department for Health of England and Wales, physical inactivity is associated with one in six deaths in the United Kingdom and costs the NHS £0.9 billion annually (and £7.2 billion to the UK economy) 22 .…”

Section: Introductionmentioning

confidence: 99%

Urban green and blue spaces for influencing physical activity in the United Kingdom: A narrative review of the policy and evidence

Leese,

Al‐Zubaidi

2023

Lifestyle Medicine

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IntroductionWith the rapid growth of urbanization globally and in the UK, increasing attention is now being directed towards urban green spaces (UGS). The appeal of UGS to policymakers lies in their capacity to address multiple policy objectives, including improving physical and mental wellbeing, mitigating noncommunicable diseases (NCDs), combating climate change through carbon sequestration, providing climate adaptation measures, and enhancing biodiversity.MethodThis narrative review gives an overview of the current literature and UK policy relating to urban green and blue spaces, with a particular focus on the use of UGS to increase physical activity levels.ResultsUGS have a profound impact on public health, with evidence indicating their positive effect on both physical and psychological health. Thirty‐eight percent of adults in the UK do not live within 15 minutes of UGS, so policy makers at national and international level are aiming to address this gap. One reason for the health benefits of UGS is associated increased physical activity, a vital component needed to address the burden of non‐communicable disease. To effectively harness UGS to promote physical activity various factors must be considered; proximity and diversity of urban green spaces, and the presence of suitable infrastructure features. Tailoring UGS to meet the needs and preferences of different population demographics is essential, as is ensuring safety, and addressing barriers to access particularly for lower socio‐economic groups. The careful planning of UGS must avoid potential gentrification effects and displacement of vulnerable communities, whilst utilising the equigenic nature of UGS.ConclusionsTo create a brighter future and capitalize on the potential of UGS, a collaborative approach is needed, involving communities, local governments, and national authorities. Primary‐care professionals, represented by organizations like the Royal College of General Practitioners (RCGP), can play a crucial role in advocating for UGS and physical activity, promoting their use, and providing guidance and support.

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“…aligns with the updated World Health Organisation guidance released in 2020. 3 Despite this, one third of adults in the United Kingdom fail to meet the Chief Medical Officers' PA Guidelines, 4 resulting in huge detrimental implications on an already stretched health service.…”

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confidence: 99%

Narrative review – Barriers and facilitators to promotion of physical activity in primary care

2023

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The objective to provide an overview of the literature on the barriers and facilitators to physical activity (PA) promotion in primary care, as experienced by practitioners and patients. Method A search strategy of the English‐language literature was conducted in EMBASE, MEDLINE and the COCHRANE LIBRARY. Search terms were primary care OR general practice OR family medicine OR family practitioner AND physical activity OR exercise AND barriers OR facilitators. Databases were searched from inception until 21 October 2022. Results After screening, 63 articles were included within the summary and content analysis of this review. Analysis of the barriers to the implementation of PA highlighted four main themes perceived by practitioners: time, knowledge/skills, resources/support and financial implications. Analysis of the patient perspective identified themes which were categorised into individual (pre‐existing health conditions, knowledge of benefits of PA, time/capacity), societal (social support and cultural norms) and environmental (availability of facilities and weather). Conclusions As the importance of PA increases through the manifestation of sedentary behaviour‐related disease, a combined primary care and public health approach to increase PA is required. By identifying the main barriers to PA promotion in primary care, resources and funding can be directed to address this. This is particularly relevant in the United Kingdom, with the re‐negotiation of the primary care contract and the changes to healthcare delivery as a consequence of the Covid‐19 pandemic. Throughout this review, we have explored ways of addressing the identified barriers through evidence‐based interventions.

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Start active, stay active: care planning in CHD

Abstract: Alison Bell, Carol Cox and Marie Hill consider physical inactivity as a risk factor of coronary heart disease (CHD) and discuss how individualized care plans can encourage self-management

Cited by 3 publications

References 10 publications

A movement for movement: an exploratory study of primary healthcare professionals’ perspectives on implementing the Royal College of General Practitioners’ active practice charter initiative

A movement for movement: an exploratory study of primary healthcare professionals’ perspectives on implementing the Royal College of General Practitioners’ active practice charter initiative

Urban green and blue spaces for influencing physical activity in the United Kingdom: A narrative review of the policy and evidence

Narrative review – Barriers and facilitators to promotion of physical activity in primary care

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